Online Learning

Course Withdrawal / Drop Form

Field Required *

Your Name: *

Date of Birth: *(MM/DD/YYYY)

Your Email: *

I wish to drop / withdraw from the following courses in accordance with the Academic Regulations. I understand that if I drop / withdraw from this course after the term's add/drop period, a "Wd" grade will remain on my official transcript.

Reason for Course Withdrawal / Drop:

Course Term/Year: *

Course Code and Section:

Course Title: *

Credits:

Professor Name:

* By checking this box I hereby affirm that this is my official signature indicating my request to withdraw from this course and hereby affirm that no additional signature is required once I check this.